Medicare / Medicaid market in the United States witnessed many changes during 2010-2015 driven by the regulatory push from the authorities. Regulations such as Patient Protection & Affordable care Act (PPACA) and American Recovery and Reinvestment Act of 2009 (ARRA) revitalized growth in the market by significantly enhancing the scope of the healthcare coverage in the country. The increased scope led to fast pace increase in enrollment of both the plans.
With the onset of the second wave of regulations (such as MACRA), the Medicare / Medicaid market in the country is expected to witness another overhaul during 2015-2020. Additional factors such as uncertain political scenario, fast pace growth in the number of elderly people (65+ age), and industry shift towards value-based care would also be driving the growth in the market.
These changing market dynamics bring several opportunities for various stakeholders, including healthcare payers, if they are aware of the key happenings and know how to respond to some challenges. This viewpoint explores the Medicare / Medicaid market in the United States in terms of industry size and growth, drivers/trends, challenges/concerns, and opportunities.
Note: this report is from 2012. See our most recent R2R research report.
The Finance & Accounting (F&A) function comprises three end-to-end processes – Procure-to-Pay (P2P), Order-to-Cash (O2C), and Record-to-Report (R2R). This report focuses on…
